Abstract
The efficiency of abdominal contra perineal drainage of the pelvic cavity after abdominoperineal resection for carcinoma of the rectum was evaluated retrospectively with regard to the frequency of perineal wound sepsis and length of hospital stay. Thirty-two (45 percent) of 71 patients with perineal drainage developed perineal wound sepsis, compared with four (12 percent) of 32 patients with abdominal drainage (P<0.01). Patients with perineal drainage stayed longer in the hospital (mean, 33 days) than those with abdominal drainage (mean, 24 days) (P<0.004). Furthermore, postoperative recovery was more comfortable in patients with abdominal drainage. Abdominal drainage therefore is recommended after abdominoperineal resection.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Miles WE. A method of performing abdominoperineal excision for carcinoma of the rectum and of the terminal portion of the pelvic colon. Lancet 1908;2:1812–5.
Hultén L, Kewenter J, Knutsson U, Olbe L. Primary closure of perineal wound after proctocolectomy or rectal excision. Acta Chir Scand 1971;137:467–9.
Irvin TT, Goligher JC. A controlled clinical trial of three different methods of perineal wound management following excision of the rectum. Br J Surg 1975;62:287–91.
Hartz RS, Poticha SM, Shields TW. Healing of the perineal wound. Arch Surg 1980;115:471–4.
Påhlman L, Glimelius B, Graffman S. Pre- versus postoperative radiotherapy in rectal carcinoma: an interim report from a randomized multicentre trial. Br J Surg 1985;72:961–6.
Påhlman L, Glimelius B, Ginman C, Graffman S, Adalsteinsson B. Preoperative irradiation of primarily non-resectable adenocarcinoma of the rectum and rectosigmoid. Acta Radiol Oncol 1985;24: 35–9.
Watts JMcK, DeDombal FT, Goligher JC. Long-term complications and prognosis following major surgery for ulcerative colitis. Br J Surg 1966;53:1014–23.
Warshaw AL, Ottinger LW, Bartlett MK. Primary perineal closure after proctocolectomy for inflammatory bowel disease: prevention of the persistent perineal sinus. Am J Surg 1977;133:414–9.
Author information
Authors and Affiliations
Additional information
Supported by grants from the Åke Wiberg Research Foundation and the Swedish Cancer Society (Project No. 1783-B85-06XA).
About this article
Cite this article
Påhlman, L., Enblad, P. & Ståhle, E. Abdominalvs. Perineal drainage in rectal surgery. Dis Colon Rectum 30, 372–375 (1987). https://doi.org/10.1007/BF02555457
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02555457